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General NPI Number Information
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NPI Number | 1386744753
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Entity Type | Individual
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Provider Name | KAREN A POLENSKY MS, RD/LDN, CDE
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/30/2011
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Provider Practice Location Address
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Address Line | 757 NORLAND AVE STE 204
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4231
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Country | US
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Telephone | 717-217-6820
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Fax |
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Provider Business Mailing Address
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Address Line | 52 PINE CREEK DR
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City | CARLISLE
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State | PA
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Zip | 17013-9668
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Country | US
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Telephone | 717-609-3537
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN003369
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License Number State | PA
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